SMITHA RUDRARAJU (M.D.) – Rheumatology Physician, NPI 1104024371
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
503 RHEUMATOLOGY in TX
Provider Addresses for SMITHA RUDRARAJU (M.D.)
909 9th Ave
Suite 300
Fort Worth, TX 761043903
Phone: (817) 336-7191
Fax: (817) 332-8076
Type: Location
4716, Alliance Boulevard, Plano, Collin County, Texas, 75093, United States
STE 775
PLANO, TX 750935371
Phone: (469) 800-6069
Fax: (469) 800-6061
Type: Mailing
Alliance Boulevard, Plano, Collin County, Texas, 75252, United States
PLANO, TX 75093
Phone: (469) 800-6000
Fax: (469) 800-6000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 165 Open Payments records for all available years, with a total value of $4,490.
Total Amount is formed as General ($3,334) + Research ($1,156) + Ownership ($0) = $4,490.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($2,417).
Total Amount
$4,490
General + Research + Ownership
Payments
165
Total payment records
General Amount
$3,334
General payments
Research Amount
$1,156
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $2,417 |
| AstraZeneca Pharmaceuticals LP | $571 |
| Janssen Biotech, Inc. | $412 |
| Amgen Inc. | $391 |
| GlaxoSmithKline, LLC. | $194 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-12-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101215001126 | I | Rheumatology | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | IA | |
| R H E U M A T O L O G Y | TX | |
| R H E U M A T O L O G Y | TX | |
| R H E U M A T O L O G Y | LA | |
| R H E U M A T O L O G Y | NY |
Reviews
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